NPI | 1053625988 |
---|---|
Entity Type | Organization |
Authorized Contact | FADEJIMI ADELAKUN Medical Director 561-989-1615 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME101158) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |